Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jillian Marie Modoono, PA

Individual provider Physician Assistant · NPI 1578030326

Jillian Marie Modoono, PA is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2018, 8 years ago. Practices with Vantage Healthcare LLC, a 69-clinician group. Licensed in New Hampshire.

Years since qualifying
8
Licensed in
NH
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone: (603) 650-7254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1453 (NH)

Record details

NPI number1578030326
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 30, 2018
Last updated in NPPESMarch 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Vantage Healthcare Llc — 69 clinicians
Accepts Medicare assignment Not indicated
Practice locations8 on file with Medicare

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